Using the Raw Data Example document, create an Excel bar graphs comparing 2016 infection rates (CLABSI, CAUTI, and SSI) against the national hospital benchmark values. At the bottom of the graphs, write a one-paragraph summary of the impact of meeting or not meeting the national quality benchmarks on value-based reimbursement. Copy and paste the graph in a Word document.
View the video Introduction to Quality Measurement, review the Measures, Quality Measures, and Hospital Value-Based Purchasing resources, and review the material available in the Johns Hopkins Core Measures webpage to guide your response. These resources will assist you in understanding quality measures: what they are, why the data is collected and used, and how organizational leaders use this data to influence decisions and take action.
*Raw Data Example doc attached*
*Introduction to quality measurement video link :https://www.youtube.com/watch?v=4g914YgCl6g&feature=share&list=UUhHTRPxz8awulGaTMh3SAkA
**Measures :https://www.jointcommission.org/measurement/measures/
**Quality measures :https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index
**https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Hospital-Value-Based-Purchasing-
https://www.hopkinsmedicine.org/patient_safety/core_measures.html
IHP 604 Raw Data Example
2015–2016 Raw Data
Procedures
Central line-
associated
bloodstream
infections (CLABSIs)
Catheter-associated
urinary tract infections
(CAUTIs)
Surgical site infections
(SSIs) after colon
surgery
2015 DATA
1st Qtr. (Jan–Mar) 68 5 410 42 36 5
2nd Qtr. (Apr–June) 52 8 535 62 24 2
3rd Qtr. (July–Sept) 83 14 490 31 21 3
4th Qtr. (Oct–Dec) 75 6 210 43 32 6
Subtotal
2015 Infection Rate
278 33
(11.87%)
1,645 178
(10.82%)
113 16
(14.16%)
National Hospital
Benchmark Rates
10.56%
9.79%
12.58%
2016 DATA
1st Qtr. (Jan–Mar) 96 10 492 93 55 7
2nd Qtr. (Apr–June) 74 7 501 106 32 5
3rd Qtr. (July–Sept) 103 24 386 72 29 6
4th Qtr. (Oct–Dec) 89 21 250 84 46 8
Subtotal
2016 Infection Rate
362 62
(17.12%)
1,629 355
(21.79%)
162 26
(16.05%)
National Hospital
Benchmark Rates
11.45%
12.34%
13.76%
TOTAL
Total Infection Rate
640 95
(14.84%)
3,274 533
(16.28%)
275 42
(15.27%